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Individual

SOMASEKHARAM KAZA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2435 VALLEY VIEW DR, CEDAR HILL, TX 75104-6712
(972) 291-6808
Mailing address
PO BOX 70, 1200 E BRIN STREET, TERRELL, TX 75160
(972) 551-8217
(972) 551-8053

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
J4875
TX
2084P0805X
Geriatric Psychiatry Physician
19040
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100219600B
OK
Enumeration date
11/14/2005
Last updated
08/12/2010
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